Efficacy analysis of endoscopic and microsurgical operation for treating hypertensive intracerebral hemorrhage in basal ganglia region
10.3969/j.issn.1671-8348.2024.17.011
- VernacularTitle:内镜与显微手术治疗基底节区高血压脑出血的疗效分析
- Author:
Yizhi ZHOU
1
;
Qiang LIU
Author Information
1. 重庆两江新区人民医院神经外科,重庆 401121
- Keywords:
endoscopic surgery;
microsurgery;
hypertensive intracerebral hemorrhage in basal ganglia region;
hematoma clearance rate;
postoperative infection
- From:
Chongqing Medicine
2024;53(17):2614-2618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of endoscopic surgery and microsurgery for treating hypertensive intracerebral hemorrhage(HICH)in the basal ganglia region.Methods A total of 132 patients with hypertensive intracerebral hemorrhage in the basal ganglia region in this hospital from June 2019 to Janu-ary 2023 were randomly divided into the endoscopic surgery group and microsurgical group,66 cases in each group.The endoscopic surgery group received the endoscopic surgery treatment,while the microsurgical group was given the microsurgical treatment.The differences in the operation time,intraoperative blood loss vol-ume,hospitalization duration,good prognosis rate,quality of life,clinical effect,hematoma clearance rate,post-operative infection and adverse reactions were compared between the two groups.Results The operation time and hospitalization duration in the endoscopic surgery group were shorter compared with the microsurgical group,and intraoperative blood loss volume was less(P＜0.05).After treatment,the good prognosis rate,quality of life,treatment effective rate and hematoma clearance rate in the endoscopic surgery group were higher than those in the microsurgical group(P＜0.05),the postoperative infection rate was lower than that in the microsurgical group(P＜0.05);the incidence rate of adverse reactions in the two groups was lower,but the difference was not statistically significant(P＞0.05).Conclusion Compared with microsurgery for trea-ting HICH in basal ganglia region,the endoscopic surgery could remarkably enhance the clinical efficacy and hematoma clearance rate,reduce the operation time,hospitalization duration,intraoperative blood loss volume and postoperative infection,and the prognosis is better,which is more conducive to the recovery of postopera-tive neurological function,life activities and quality of life of patients.
